feat: Public Health Emergency Outbreak Info field

containers/ecr-viewer/src/app/tests/components/Clinical.test.tsx

@@ -113,6 +113,7 @@ describe("Snapshot test for Procedures (Treatment Details)", () => {
       <ClinicalInfo
         clinicalNotes={[]}
         activeProblemsDetails={[]}
+        emergencyOutbreakInfo={[]}
         vitalData={[]}
         reasonForVisitDetails={[]}
         immunizationsDetails={[]}
@@ -145,6 +146,7 @@ describe("Snapshot test for Clinical Notes", () => {
       <ClinicalInfo
         clinicalNotes={clinicalNotes}
         activeProblemsDetails={[]}
+        emergencyOutbreakInfo={[]}
         vitalData={[]}
         reasonForVisitDetails={[]}
         immunizationsDetails={[]}
@@ -212,6 +214,7 @@ describe("Snapshot test for Clinical Notes", () => {
       <ClinicalInfo
         clinicalNotes={clinicalNotes}
         activeProblemsDetails={[]}
+        emergencyOutbreakInfo={[]}
         vitalData={[]}
         reasonForVisitDetails={[]}
         immunizationsDetails={[]}
@@ -235,13 +238,15 @@ describe("Check that Clinical Info components render given FHIR bundle", () => {
   const testReasonForVisitData =
     testClinicalData.reasonForVisitDetails.availableData;
   const testTreatmentData = testClinicalData.treatmentData.availableData;
+  const testOutbreakInfo = testClinicalData.emergencyOutbreakInfo.availableData;
 
   it("eCR Viewer renders immunization table given FHIR bundle with immunization info", () => {
     const clinicalInfo = render(
       <ClinicalInfo
         immunizationsDetails={testImmunizationsData}
         reasonForVisitDetails={[]}
         activeProblemsDetails={[]}
+        emergencyOutbreakInfo={[]}
         vitalData={[]}
         treatmentData={[]}
         clinicalNotes={[]}
@@ -266,6 +271,7 @@ describe("Check that Clinical Info components render given FHIR bundle", () => {
         immunizationsDetails={[]}
         reasonForVisitDetails={[]}
         activeProblemsDetails={testActiveProblemsData}
+        emergencyOutbreakInfo={[]}
         vitalData={[]}
         treatmentData={[]}
         clinicalNotes={[]}
@@ -288,6 +294,7 @@ describe("Check that Clinical Info components render given FHIR bundle", () => {
         immunizationsDetails={[]}
         reasonForVisitDetails={[]}
         activeProblemsDetails={[]}
+        emergencyOutbreakInfo={[]}
         vitalData={testVitalSignsData}
         treatmentData={[]}
         clinicalNotes={[]}
@@ -326,6 +333,7 @@ describe("Check that Clinical Info components render given FHIR bundle", () => {
         immunizationsDetails={[]}
         reasonForVisitDetails={testReasonForVisitData}
         activeProblemsDetails={[]}
+        emergencyOutbreakInfo={[]}
         vitalData={[]}
         treatmentData={[]}
         clinicalNotes={[]}
@@ -343,6 +351,7 @@ describe("Check that Clinical Info components render given FHIR bundle", () => {
         immunizationsDetails={[]}
         reasonForVisitDetails={[]}
         activeProblemsDetails={[]}
+        emergencyOutbreakInfo={[]}
         vitalData={[]}
         treatmentData={testTreatmentData}
         clinicalNotes={[]}
@@ -358,12 +367,31 @@ describe("Check that Clinical Info components render given FHIR bundle", () => {
     expect(expectedTable.length).toEqual(4);
   });
 
+  it("eCR Viewer renders emergency outbreak info given FHIR bundle with emergency outbreak info", () => {
+    const clinicalInfo = render(
+      <ClinicalInfo
+        immunizationsDetails={[]}
+        reasonForVisitDetails={[]}
+        activeProblemsDetails={[]}
+        emergencyOutbreakInfo={testOutbreakInfo}
+        vitalData={[]}
+        treatmentData={[]}
+        clinicalNotes={[]}
+      />,
+    );
+    const expectedEmergencyOutbreakElement = clinicalInfo.getByTestId(
+      "emergency-outbreak-info",
+    );
+    expect(expectedEmergencyOutbreakElement).toBeInTheDocument();
+  });
+
   it("eCR Viewer renders all Clinical Info sections", () => {
     const clinicalInfo = render(
       <ClinicalInfo
         immunizationsDetails={testImmunizationsData}
         reasonForVisitDetails={testReasonForVisitData}
         activeProblemsDetails={testActiveProblemsData}
+        emergencyOutbreakInfo={[]}
         vitalData={testVitalSignsData}
         treatmentData={testTreatmentData}
         clinicalNotes={[]}

containers/ecr-viewer/src/app/utils/evaluate/fhir-paths.ts

@@ -100,7 +100,7 @@ export type PathTypes = {
   clinicalReasonForVisit: ValueX;
   patientVitalSigns: Observation;
   vitalSignType: CodeableConcept;
-  vitalSignValue: ValueX;
+  value: ValueX;
   vitalSignDateTime: ValueX;
   resolve: unknown;
   activeProblems: Condition;
@@ -109,6 +109,7 @@ export type PathTypes = {
   activeProblemsOnsetAge: ValueX;
   activeProblemsComments: string;
   historyOfPresentIllness: string;
+  emergencyOutbreakInfo: Observation;
   planOfTreatment: string;
   plannedProcedures: CarePlanActivity;
   plannedProcedureName: string;
@@ -412,12 +413,6 @@ const _fhirPathMappings: { [K in FhirPathKeys]: Omit<FhirPath<K>, "name"> } = {
     path: "Bundle.entry.resource.where(meta.profile = 'http://hl7.org/fhir/us/ecr/StructureDefinition/rr-reportability-information-observation')",
   },
 
-  // Clinical Data
-  clinicalReasonForVisit: {
-    type: "ValueX",
-    path: "Bundle.entry.resource.section.where(title.lower() = 'reason for visit')[0].extension[0].value",
-  },
-
   // Vitals
   patientVitalSigns: {
     type: "Observation",
@@ -427,7 +422,7 @@ const _fhirPathMappings: { [K in FhirPathKeys]: Omit<FhirPath<K>, "name"> } = {
     type: "CodeableConcept",
     path: "code",
   },
-  vitalSignValue: {
+  value: {
     type: "ValueX",
     path: "value",
   },
@@ -442,6 +437,10 @@ const _fhirPathMappings: { [K in FhirPathKeys]: Omit<FhirPath<K>, "name"> } = {
   },
 
   // Clinical Info
+  clinicalReasonForVisit: {
+    type: "ValueX",
+    path: "Bundle.entry.resource.section.where(title.lower() = 'reason for visit')[0].extension[0].value",
+  },
   activeProblems: {
     type: "Condition",
     path: "Bundle.entry.resource.where(resourceType = 'Condition').where(category.coding.code = 'problem-item-list')",
@@ -457,6 +456,10 @@ const _fhirPathMappings: { [K in FhirPathKeys]: Omit<FhirPath<K>, "name"> } = {
     type: "string",
     path: "Bundle.entry.resource.where(resourceType = 'Composition').section.where(code.coding.code = '10164-2').text.`div`.first()",
   },
+  emergencyOutbreakInfo: {
+    type: "Observation",
+    path: "Bundle.entry.resource.where(resourceType = 'Observation').where(meta.profile = 'http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-emergency-outbreak-information')",
+  },
 
   // Treatment Details
   planOfTreatment: {

containers/ecr-viewer/src/app/view-data/components/ClinicalInfo.tsx

@@ -12,6 +12,7 @@ import { DataDisplay, DataTableDisplay, DisplayDataProps } from "./DataDisplay";
 interface ClinicalProps {
   reasonForVisitDetails: DisplayDataProps[];
   activeProblemsDetails: DisplayDataProps[];
+  emergencyOutbreakInfo: DisplayDataProps[];
   vitalData: DisplayDataProps[];
   immunizationsDetails: DisplayDataProps[];
   treatmentData: DisplayDataProps[];
@@ -62,11 +63,17 @@ const ClinicalNotes = ({ details }: { details: DisplayDataProps[] }) => {
 const SymptomsAndProblems = ({
   symptoms,
   problems,
+  emergencyOutbreakInfo,
 }: {
   symptoms: DisplayDataProps[];
   problems: DisplayDataProps[];
+  emergencyOutbreakInfo: DisplayDataProps[];
 }) => {
-  if (symptoms?.length > 0 || problems?.length > 0) {
+  if (
+    symptoms?.length > 0 ||
+    problems?.length > 0 ||
+    emergencyOutbreakInfo?.length > 0
+  ) {
     return (
       <AccordionSubSection title="Symptoms and Problems">
         <div data-testid="reason-for-visit">
@@ -80,6 +87,11 @@ const SymptomsAndProblems = ({
             className="table-clinical-problems"
           />
         </div>
+        <div data-testid="emergency-outbreak-info">
+          {emergencyOutbreakInfo.map((item, index) => (
+            <DataDisplay item={item} key={index} />
+          ))}
+        </div>
       </AccordionSubSection>
     );
   }
@@ -138,6 +150,7 @@ const VitalDetails = ({ details }: { details: DisplayDataProps[] }) => {
  * @param props - Props containing clinical information.
  * @param props.reasonForVisitDetails - The details of the reason for visit.
  * @param props.activeProblemsDetails - The details of active problems.
+ * @param props.emergencyOutbreakInfo - The details of emergency outbreak information.
  * @param props.immunizationsDetails - The details of immunizations.
  * @param props.vitalData - The vital signs data.
  * @param props.treatmentData - The details of treatments.
@@ -147,6 +160,7 @@ const VitalDetails = ({ details }: { details: DisplayDataProps[] }) => {
 export const ClinicalInfo = ({
   reasonForVisitDetails,
   activeProblemsDetails,
+  emergencyOutbreakInfo,
   immunizationsDetails,
   vitalData,
   treatmentData,
@@ -158,6 +172,7 @@ export const ClinicalInfo = ({
       <SymptomsAndProblems
         symptoms={reasonForVisitDetails}
         problems={activeProblemsDetails}
+        emergencyOutbreakInfo={emergencyOutbreakInfo}
       />
       <TreatmentDetails details={treatmentData} />
       <ImmunizationsDetails details={immunizationsDetails} />

containers/ecr-viewer/src/app/view-data/components/EcrDocument/accordion-items.tsx

@@ -55,6 +55,7 @@ export const getEcrDocumentAccordionItems = (
       hospitalEncounterData.unavailableData,
       clinicalData.reasonForVisitDetails.unavailableData,
       clinicalData.activeProblemsDetails.unavailableData,
+      clinicalData.emergencyOutbreakInfo.unavailableData,
       providerData.unavailableData,
       clinicalData.vitalData.unavailableData,
       clinicalData.immunizationsDetails.unavailableData,
@@ -125,6 +126,9 @@ export const getEcrDocumentAccordionItems = (
           activeProblemsDetails={
             clinicalData.activeProblemsDetails.availableData
           }
+          emergencyOutbreakInfo={
+            clinicalData.emergencyOutbreakInfo.availableData
+          }
           vitalData={clinicalData.vitalData.availableData}
           immunizationsDetails={clinicalData.immunizationsDetails.availableData}
           treatmentData={clinicalData.treatmentData.availableData}

containers/ecr-viewer/src/app/view-data/components/EcrDocument/clinical-data.tsx

@@ -73,6 +73,13 @@ export const evaluateClinicalData = (fhirBundle: Bundle) => {
     },
   ];
 
+  const emergencyOutbreakInfo: DisplayDataProps[] = [
+    {
+      title: "Emergency Outbreak Info",
+      value: evaluateOutbreakInfo(fhirBundle),
+    },
+  ];
+
   const administeredMedication = evaluateAdministeredMedication(fhirBundle);
 
   const treatmentData: DisplayDataProps[] = [
@@ -122,6 +129,7 @@ export const evaluateClinicalData = (fhirBundle: Bundle) => {
     clinicalNotes: evaluateData(clinicalNotes),
     reasonForVisitDetails: evaluateData(reasonForVisitData),
     activeProblemsDetails: evaluateData(activeProblemsTableData),
+    emergencyOutbreakInfo: evaluateData(emergencyOutbreakInfo),
     treatmentData: evaluateData(treatmentData),
     vitalData: evaluateData(vitalData),
     immunizationsDetails: evaluateData(immunizationsData),
@@ -420,7 +428,7 @@ export const returnVitalsTable = (fhirBundle: Bundle) => {
       infoPath: "vitalSignType",
       applyToValue: toSentenceCase,
     },
-    { columnName: "Result", infoPath: "vitalSignValue" },
+    { columnName: "Result", infoPath: "value" },
     {
       columnName: "Date/Time",
       infoPath: "vitalSignDateTime",
@@ -438,3 +446,37 @@ export const returnVitalsTable = (fhirBundle: Bundle) => {
     />
   );
 };
+
+const evaluateOutbreakInfo = (fhirBundle: Bundle): string => {
+  const outbreakInfos = evaluateAll(
+    fhirBundle,
+    fhirPathMappings.emergencyOutbreakInfo,
+  );
+
+  return outbreakInfos
+    .map((outbreakInfo) => {
+      const lines = [];
+
+      if (outbreakInfo.effectiveDateTime) {
+        lines.push(
+          "Date/Time: " + formatDateTime(outbreakInfo.effectiveDateTime),
+        );
+      } else if (outbreakInfo.effectivePeriod) {
+        lines.push(formatStartEndDate(outbreakInfo.effectivePeriod));
+      }
+
+      // Get the first display value from the coding array
+      const coding = outbreakInfo.code?.coding?.find((c) => c.display);
+      if (coding?.display) {
+        lines.push("Type: " + coding.display);
+      }
+
+      const value = evaluateValue(outbreakInfo, fhirPathMappings.value);
+      if (value) {
+        lines.push("Result: " + value);
+      }
+
+      return lines.join("\n");
+    })
+    .join("\n\n");
+};

containers/fhir-converter/Dockerfile

@@ -1,7 +1,7 @@
 FROM mcr.microsoft.com/dotnet/sdk:8.0 AS build
 
 # Download FHIR-Converter
-RUN git clone https://github.com/CDCgov/dibbs-FHIR-Converter.git --branch v7.0-4 --depth 1 /build/FHIR-Converter
+RUN git clone https://github.com/CDCgov/dibbs-FHIR-Converter.git --branch v7.0-5 --depth 1 /build/FHIR-Converter
 
 WORKDIR /build/FHIR-Converter
 

test-data/fhir/BundleClinicalInfo.json

@@ -582,6 +582,47 @@
         "method": "PUT",
         "url": "MedicationAdministration/367be6b3-75f2-2053-63e4-f0a6f1d6bff1"
       }
+    },
+    {
+      "fullUrl": "urn:uuid:26d05bcc-1b0f-fc8a-a85e-4c6c6512478f",
+      "resource": {
+        "resourceType": "Observation",
+        "id": "26d05bcc-1b0f-fc8a-a85e-4c6c6512478f",
+        "meta": {
+          "profile": [
+            "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-emergency-outbreak-information"
+          ],
+          "source": "ecr"
+        },
+        "identifier": [
+          {
+            "system": "urn:ietf:rfc:3986",
+            "value": "urn:uuid:ab1791b0-5c71-11db-b0de-0800200c9a54"
+          }
+        ],
+        "status": "final",
+        "code": {
+          "coding": [
+            {
+              "display": "Employee desk distance from mail sorter"
+            }
+          ]
+        },
+        "subject": {
+          "reference": "Patient/f35db4f9-0d60-4d3d-ac02-75affb3f2059"
+        },
+        "valueQuantity": {
+          "value": 2,
+          "unit": "m"
+        },
+        "effectivePeriod": {
+          "start": "2020-11-01"
+        }
+      },
+      "request": {
+        "method": "PUT",
+        "url": "Observation/26d05bcc-1b0f-fc8a-a85e-4c6c6512478f"
+      }
     }
   ]
 }